Account Details Addition / Modification / Deletion Request Form
INTELLECT COMMODITIES PRIVATELIMITED	
232, Chittanranjan Avenue 7th Floor Kolkata-70006                       
Tel: 033 40529200, Fax: 033 40529224 
Invester’Grievances Redressal E-mail: info@intellectmoney.com
                  
SEGMENT BY EXCHANGE  TRADING 

Please fill all the details in Block Letters in English
	
TRADING CODE	 	Date	D	D	M	M	Y	Y	Y	Y	
Account Holder’s Details (Address (  )  Mobile (  )  Bank Detail (  )  Email Id (  )  Telephone (  )  Name   (   )
Name of the Account Holder		

I/We request you to make the following additions / modifications / deletions to my/our account in your records.

DETAILS
(Please specify change of address, bank details, telephone number etc.) 	Addition / Modification / Deletion
(Please specify)	Existing Details	New Details	

				

Attach an Annexure (with signature(s)) if the space above is found insufficient.

	First/Sole Holder	Second Holder	Third Holder	
Name				
				
Signature 				

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Acknowledgement Receipt
Received Account Details Addition / Modification / Deletions request as per details given below:

TRADING CODE	 	Date	D	D	M	M	Y	Y	Y	Y	
Name of the Sole / First Holder		
Modification requested for:
[Specify reason]		

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